Individual provider · Type 1 NPI

Michelle Rae Clark, DENTAL HYGIENIST

Dental Hygienist · Glenwood Springs, CO

NPI number 1154052843 Active

Practice location

2014 Blake Ave
Glenwood Springs, CO 81601-4229

Mailing address

PO Box 2138
Aspen, CO 81612-2138

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH002026398 (CO)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1154052843

Michelle Rae Clark, DENTAL HYGIENIST's National Provider Identifier is 1154052843, issued on Jun 22, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Glenwood Springs, CO. The record was last updated on Aug 1, 2023.